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Does turbinate reduction combined with septoplasty have better outcomes than septoplasty alone? A randomised, controlled study

Published online by Cambridge University Press:  27 October 2021

N Seden Open the ORCID record for N Seden [Opens in a new window] ,
E Araz Server ,
O Yigit  and
E Misir
N Seden*
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, University of Health Sciences, Istanbul Training and Research Hospital, İstanbul, Turkey
E Araz Server
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, University of Health Sciences, Istanbul Training and Research Hospital, İstanbul, Turkey
O Yigit
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, University of Health Sciences, Istanbul Training and Research Hospital, İstanbul, Turkey
E Misir
Affiliation:
Otorhinolaryngology Head and Neck Surgery Department, University of Health Sciences, Istanbul Training and Research Hospital, İstanbul, Turkey
*
Author for correspondence: Dr Nihal Seden, Darussafaka Caddesi Acelya Sokak, No:17, Istinye, Istanbul, Turkey E-mail: nihalseden@hotmail.com
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Abstract

Objective

This study investigated whether inferior turbinate reduction combined with septoplasty improves patients’ outcomes, as assessed by objective and subjective methods.

Methods

A single-centre, parallel-group, randomised, open-label trial was conducted at a tertiary hospital ENT clinic. Patients who underwent septoplasty were divided into two groups: group A underwent septoplasty with radiofrequency ablation; group B underwent only septoplasty. All patients were assessed before and three months after surgery using acoustic rhinometry and peak nasal inspiratory flow measurements, as well as Nasal Obstruction Symptom Evaluation scale and Sino-Nasal Outcome Test-22 scores.

Results

Seventy-four patients completed the study (36 in group A and 38 in group B). The patients in both groups showed significant improvements in acoustic rhinometry and peak nasal inspiratory flow measurements and in Nasal Obstruction Symptom Evaluation scale and Sino-Nasal Outcome Test-22 scores after the surgery (p < 0.05). However, the differences between the groups were not significant (p > 0.05).

Conclusion

Inferior turbinate ablation combined with septoplasty does not provide any more benefit to the objective and subjective outcomes of patients than septoplasty alone.

Keywords

Rhinometry, AcousticNasal ObstructionSino-Nasal Outcome TestTurbinatesRadiofrequency AblationNasal Septum
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 1 , January 2022 , pp. 55 - 59
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr N Seden takes responsibility for the integrity of the content of the paper

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